Some states are opting to create and run their own eligibility and enrollment platforms for ACA-compliant individual plans instead of using the federally run marketplace, according to a Georgetown University Health Policy Institute blog post.
By Morgan Haefner - 10/24/18

Anthem's policy to retrospectively deny coverage for emergency care it deems nonemergent could land 1 in 6 patients with denied claims if widely adopted, according to a study published in JAMA Network.
By Morgan Haefner - 10/24/18

Ridgewood, N.J.-based Valley Hospital settled with Horizon Blue Cross and Blue Shield of New Jersey the day before a trial was set to begin on allegations that the insurer pushed smaller community hospitals out of the market, according to NJ.com.
By Leo Vartorella - 10/24/18

State Medicaid agencies are more likely to experience a breach affecting a single individual, rather than a large-scale incident affecting numerous patients, according to a report from the Office of Inspector General at HHS.
By Jessica Kim Cohen - 10/23/18

The number of Medicare Advantage plans across the U.S. varies drastically, with as many as 50 plans available in some counties, according to an October data note from the Kaiser Family Foundation.
By Morgan Haefner - 10/22/18

Aetna agreed to pay $4.3 million to attorneys who represented plaintiffs of a class-action lawsuit concerning an inadvertent disclosure of their HIV status, according to Bloomberg Law.
By Morgan Haefner - 10/19/18

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